| 卜方,徐辉,梁霁,岳廷棉,陈莉,施云美,程诗洋,张佳琪.“全面二孩”政策下上海市长宁区孕产妇保健及管理动态解析[J].中国临床保健杂志,2020,23(2):230-232. |
| “全面二孩”政策下上海市长宁区孕产妇保健及管理动态解析 |
| Maternal health care in Changning district of Shanghai under the second-child policy |
| 投稿时间：2019-06-17 |
| DOI：10.3969/J.issn.1672-6790.2020.02.023 |
| 中文关键词: 社区卫生服务 孕前保健 产前保健 婚前检查 |
| 英文关键词: Community health services Preconception care Prenatal care Premarital examinations 〖FL |
| 基金项目:上海市卫生和计划生育委员会科研项目(20164Y0280) |
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| 中文摘要: |
| 目的 对上海市长宁区孕产妇保健管理的相关指标进行动态分析,为提高孕产妇保健管理水平、制定相应干预措施提供依据。方法 分析上海市长宁区2015年1月至2018年12月的孕产妇保健和健康情况报表。结果 2015—2018年长宁区助产机构中的经产妇的占比呈上升趋势,差异有统计学意义(P<0.05),2018年经产妇的剖宫产率明显高于初产妇,2018年上次剖宫产的产妇本次为剖宫产的比例明显高于上次阴道分娩的产妇本次剖宫产的比例(P<0.05)；2015—2018年长宁区的孕产妇保健管理指标早孕建册率、≥8次产检率略有上升,差异有统计学意义(P<0.05),2016—2018年高危孕产妇的比例上升(P<0.05)。结论 “全面二孩”政策全面放开后,长宁区孕前保健及孕产期保健管理水平同步上升,需进一步采取措施提高长宁区的婚检率、免费孕检及孕产期保健管理水平。 |
| 英文摘要: |
| Objective To analyze the relevant indicators of maternal health management in Changning District of Shanghai dynamically and provide evidence for developing appropriate intervention measures to improve the level of maternal health management.Methods The report of maternal health and annual health from January 2015 to December 2018 in Changning District of Shanghai was analyzed.Results The proportion of maternal women in the midwifery institutions in Changning District increased gradually from 2015 to 2018,and the difference was statistically significant (P<0.05).In 2018,the rate of cesarean section in maternal was significantly higher than that of primipara,and the proportion of the last delivery method for cesarean section was significantly higher than that of vaginal delivery (P<0.05).From 2015 to 2018,maternal health management indicators in Changning District,such as early pregnancy registration rate and ≥8 birth inspection rate increased slightly,and the difference was statistically significant (P<0.05).The proportion of high-risk maternal women increased gradually from 2015 to 2018 (P<0.05).Conclusion After the second-child policy is fully liberalized,the pre-pregnancy care and maternal health management level in Changning District increase synchronously.In the future,further measures should be taken to improve the marriage inspection rate,free pregnancy check and maternal health management level in Changning District. |
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